11-2160825-G-C

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PP3_ModeratePP5

The NM_000207.3(INS):ā€‹c.147C>Gā€‹(p.Phe49Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000205 in 1,460,328 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 35)
Exomes š‘“: 0.0000021 ( 0 hom. )

Consequence

INS
NM_000207.3 missense

Scores

8
8
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 5.17
Variant links:
Genes affected
INS (HGNC:6081): (insulin) This gene encodes insulin, a peptide hormone that plays a vital role in the regulation of carbohydrate and lipid metabolism. After removal of the precursor signal peptide, proinsulin is post-translationally cleaved into three peptides: the B chain and A chain peptides, which are covalently linked via two disulfide bonds to form insulin, and C-peptide. Binding of insulin to the insulin receptor (INSR) stimulates glucose uptake. A multitude of mutant alleles with phenotypic effects have been identified, including insulin-dependent diabetes mellitus, permanent neonatal diabetes diabetes mellitus, maturity-onset diabetes of the young type 10 and hyperproinsulinemia. There is a read-through gene, INS-IGF2, which overlaps with this gene at the 5' region and with the IGF2 gene at the 3' region. [provided by RefSeq, May 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a peptide Insulin B chain (size 29) in uniprot entity INS_HUMAN there are 6 pathogenic changes around while only 0 benign (100%) in NM_000207.3
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.926
PP5
Variant 11-2160825-G-C is Pathogenic according to our data. Variant chr11-2160825-G-C is described in ClinVar as [Pathogenic]. Clinvar id is 13377.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
INSNM_000207.3 linkuse as main transcriptc.147C>G p.Phe49Leu missense_variant 2/3 ENST00000381330.5 NP_000198.1
INS-IGF2NR_003512.4 linkuse as main transcriptn.206C>G non_coding_transcript_exon_variant 2/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
INSENST00000381330.5 linkuse as main transcriptc.147C>G p.Phe49Leu missense_variant 2/31 NM_000207.3 ENSP00000370731 P1P01308-1

Frequencies

GnomAD3 genomes
Cov.:
35
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1460328
Hom.:
0
Cov.:
88
AF XY:
0.00
AC XY:
0
AN XY:
726498
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
35

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Hyperproinsulinemia Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 07, 1983- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.45
D
BayesDel_noAF
Pathogenic
0.40
CADD
Uncertain
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.73
D;D;D;D;.;.
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.91
D;.;.;T;D;D
M_CAP
Pathogenic
0.57
D
MetaRNN
Pathogenic
0.93
D;D;D;D;D;D
MetaSVM
Pathogenic
0.83
D
MutationAssessor
Benign
0.69
N;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D
PROVEAN
Pathogenic
-4.7
D;D;D;D;D;D
REVEL
Pathogenic
0.86
Sift
Uncertain
0.0010
D;D;D;D;D;D
Sift4G
Uncertain
0.0040
D;D;D;D;.;D
Polyphen
0.51
P;D;D;D;.;D
Vest4
0.88
MutPred
0.79
Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);
MVP
0.88
MPC
0.74
ClinPred
0.99
D
GERP RS
2.9
Varity_R
0.95
gMVP
0.96

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs148685531; hg19: chr11-2182055; API